Journal of hospice and palliative care最新文献

{"title":"The Effects of Aroma Foot Baths on Stress and Sleep in Terminal Cancer Patients.","authors":"Bok Soon Kim, Sun Hwa Chae, In Cheol Hwang","doi":"10.14475/jhpc.2021.24.2.109","DOIUrl":"10.14475/jhpc.2021.24.2.109","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the effects of aroma foot baths on stress and sleep in terminally ill cancer patients.</p><p><strong>Methods: </strong>We performed a non-randomized intervention-control study with 30 terminal cancer patients who were admitted to a palliative care unit. Participants responded to questionnaires on stress and sleep before and after a 5-day interval. The intervention group received a daily aroma foot bath for 5 days. We performed multivariate regression analysis to examine the changes in outcomes on stress and sleep for the intervention group compared to the control group.</p><p><strong>Results: </strong>The differences in baseline characteristics between groups, excluding subjective economic status and general weakness, did not show statistical significance. In contrast to the control group, the intervention group showed a statistically significant change in physical stress and psychological stress levels, but significant changes were not observed in quality of sleep. Compared to the control group, the intervention group showed a significant reduction in physical stress (P=0.068) and psychological stress (P=0.021).</p><p><strong>Conclusion: </strong>Aroma foot baths are effective for reducing stress in patients hospitalized with terminal cancer.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 2","pages":"109-115"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/34/83/jhpc-24-2-109.PMC10180049.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delirium-Related Knowledge, Caregiving Performance, Stress Levels, and Mental Health of Family Caregivers of Terminal Cancer Patients with Delirium in a Hospice Care Unit.","authors":"Mi Hyun Jung,&nbsp;Myung-Hee Park,&nbsp;Su-Jeong Kim,&nbsp;Jeong Ran Ra","doi":"10.14475/jhpc.2021.24.2.116","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.2.116","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine the knowledge, caregiving performance, stress levels, and mental health of family caregivers of terminal cancer patients with delirium, insofar as these characteristics are relevant for delirium.</p><p><strong>Methods: </strong>Between May 1, 2019, and June 1, 2020, 96 family caregivers of terminal cancer patients with delirium completed a structured survey, the results of which were analyzed.</p><p><strong>Results: </strong>The average correct answer rate for delirium-related knowledge was 53.2% across all subcategories, which included knowledge of causes (41.5%), symptoms (65.4%), and caregiving (51.7%). The average score for family caregivers' performance of caregiving for delirium was 2.60±0.5, with subcategories including caregiving for patients without delirium (2.16±0.95), caregiving for patients with delirium (2.84±1.01), and stress related to caregiving for delirium (39.88±16.55), as well as categories such as patient-related caregiving (44.32±28.98), duty-related caregiving (44.21±30.15), and interpersonal relationship-related caregiving (22.35±25.03). For mental health, the average score among family caregivers was 1.96±0.70, with the highest score being for the category of additional items (2.28±0.84). Family caregivers of patients with hyperactive delirium as the delirium subtype had higher scores for caregiving performance than caregivers of patients with mixed delirium.</p><p><strong>Conclusion: </strong>Scores for the delirium-related knowledge and caregiving performance of family caregivers were low, while their caregiving stress levels were high due to their lack of knowledge and experience. This indicates the importance of delirium-related education for family members of patients with delirium and the necessity of developing nursing intervention programs to help manage stress and promote mental health among family caregivers.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 2","pages":"116-129"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/18/jhpc-24-2-116.PMC10180047.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Status of Complementary Therapies Provided by Hospice Palliative Care in South Korea.","authors":"Sinyoung Kwon,&nbsp;Jihye Bak,&nbsp;So-Hi Kwon","doi":"10.14475/jhpc.2021.24.2.85","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.2.85","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to investigatecomplementary therapiesprovided at hospice palliative care facilities in South Koreaas designated by the Ministry of Health and Welfare.</p><p><strong>Methods: </strong>The survey was conducted via e-mail from September 2 to September 23, 2020, with responsesfrom 109 therapists and 59 managers from 55 different hospice care facilities.</p><p><strong>Results: </strong>Hospices provided an average of 3.67 different types of therapies, ranging from 1 to 7 different types. The most common types of therapies were horticultural therapy (81.4%), music therapy (79.7%), art therapy (76.3%), and aromatherapy (57.6%). The average frequency of sessions was once a week, the median duration was 60 minutes. Most therapists (96.3%) had qualifications, but the certification-issuing organizations and training intensiveness varied greatly. None of the therapists were employed on a full-time basis, and their average monthly income was KRW 270,000. Therapists and managers gave average scores of 8.90 and 8.38 out of 10, respectively, regarding the positive impact of complementary therapies on patients.</p><p><strong>Conclusion: </strong>In order for patients and their families to benefit from complementary therapiesat hospice care facilities, in addition tobetter terms of employment for therapists, evidence-based guidelines for different types of therapies are needed so that therapy sessions can be conducted according to the theoretical underpinnings and characteristics of the type of therapy. It is expected that the results of this study will be used for policy-making in support of therapy as an essential hospice service.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 2","pages":"85-96"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/d9/jhpc-24-2-85.PMC10180044.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Attitudes toward Advance Directives among Middle-Aged Women.","authors":"Ji Won Choi,&nbsp;Yong Joo Rhee","doi":"10.14475/jhpc.2021.24.2.74","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.2.74","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated knowledge of and attitudes toward advance directives (ADs) among middle-aged women in South Korea, their willingness to write ADs in the future, and the factors related to knowledge of and attitudes toward ADs.</p><p><strong>Methods: </strong>Data were collected using a self-administrated questionnaire completed by 154 middle-aged women aged 50 to 64 from February to March 2020. The questionnaire asked about participants' knowledge of and attitude toward ADs, willingness to write ADs in the future, experiences with life-sustaining treatment within their families, experience making decisions about life-sustaining treatment, and demographic characteristics.</p><p><strong>Results: </strong>Scores for both knowledge of and attitude toward ADs were relatively high. About 60% of participants gave wrong answers when asked if attorneys were required for writing ADs. A higher knowledge score was significantly associated with a higher attitude score (r=0.227, P<0.01). The women were more likely to be willing to write ADs in the future when they reported a middle income level rather than a lower income level (odds ratio [OR]=5.952, P<0.01), considered themselves unhealthy (OR=5.873, P<0.01), and graduated college or higher (OR=4.096, P<0.05). Furthermore, women who thought that ADs would have an impact on treatment (OR=1.869, P<0.05) and on their families (OR=1.447, P<0.05) were more likely to be willing to write an AD.</p><p><strong>Conclusion: </strong>This study shows that wrong information about ADs persists among middle-aged women, and significant factors associated with knowledge of and attitude toward ADs were identified. Targeted education programs about ADs need to be developed for middle-aged women.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 2","pages":"74-84"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/20/jhpc-24-2-74.PMC10180045.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to Deal with the Past Memories of Patients in Palliative Care: A Suggested New Approach.","authors":"Eun-Seung Yu","doi":"10.14475/jhpc.2021.24.2.69","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.2.69","url":null,"abstract":"<p><p>Dealing with existential concerns experienced by patients is an important part of palliative care. Interventions that use the life review method to encourage patients to reminisce about their lives can help them find new positive meanings, promote ego integrity, and reduce emotional suffering. Not everyone has positive memories when they look back on the past, however. This poses a limit on the effectiveness of the life review method for healthcare providers working in palliative care contexts. In this study, we discuss the limits of life review and suggest imagery rescripting as a new modality constituting a psychotherapeutic approach to deal with negative memories safely and effectively.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 2","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/64/99/jhpc-24-2-69.PMC10180050.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10652874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Education, Role, and Prospects of Advanced Practice Nurses in Hospice and Palliative Care in South Korea.","authors":"So-Hi Kwon,&nbsp;Myung-Hee Park,&nbsp;Hyun Sook Kim","doi":"10.14475/jhpc.2021.24.1.1","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.1","url":null,"abstract":"<p><p>Hospice palliative care refers to holistic care provided by an interdisciplinary team aimed at improving the quality of life of patients suffering from life-threatening diseases and their families. Among interdisciplinary team members, hospice advanced practice nurses (APNs) trained as master's-level advanced nursing professionals are leaders who play an important role in providing patient-centered care and improving the quality of services. The Medical Service Act revised in 2018 requires the scope of practice of APNs in each field to be specified in the Ordinance of the Ministry of Health and Welfare. Accordingly, discussions on the role and scope of practice of hospice APNs are actively underway. In this review, the curriculum of hospice APNs, their work responsibilities and roles, and their current status are reviewed, and the future direction of the hospice APN system is also discussed.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/d7/jhpc-24-1-1.PMC10179999.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Compassion Fatigue among Hospice and Palliative Care Unit Nurses.","authors":"Eun-Ju Cho,&nbsp;Hun Ha Cho","doi":"10.14475/jhpc.2021.24.1.13","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.13","url":null,"abstract":"<p><strong>Purpose: </strong>This descriptive study aimed to explore nursing workplace spirituality, end-of-life care stress, and resilience as factors influencing compassion fatigue among nurses working in hospice and palliative care units.</p><p><strong>Methods: </strong>Data were collected using a self-report questionnaire completed by 146 nurses at 14 hospice and palliative care institutions across South Korea who had worked in a hospice and palliative care institution for at least 6 months and had experience providing end-of-life care. Data were collected from February 25, 2019 to April 12, 2019, and analyzed using SPSS for Windows version 18.0. As appropriate, descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and stepwise multiple regression were used.</p><p><strong>Results: </strong>The survey results showed that factors influencing compassion fatigue were resilience, subjective health status, current satisfaction with the hospice ward, and end-of-life care stress. Higher levels of resilience, a subjective health status of \"healthy\", high levels of current satisfaction with the hospice ward, and lower levels of end-of-life care stress were associated with lower levels of compassion fatigue, explaining 42.9% of the total variance.</p><p><strong>Conclusion: </strong>The results of this study suggest that resilience is an important factor mitigating compassion fatigue among nurses at hospice and palliative care institutions. Therefore, intervention programs should be developed to reduce compassion fatigue.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"13-25"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/d7/jhpc-24-1-13.PMC10179998.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Process of Accepting Patient Deaths among Korean Nurses: Grieving over Dying.","authors":"Mi Joung Yi","doi":"10.14475/jhpc.2021.24.1.56","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.56","url":null,"abstract":"<p><strong>Purpose: </strong>Nurses' acceptance of patient deaths enables them to practice holistic end-of-life care and pursue positive living. The place where most deaths occur in Korea has changed from home to medical institutions, making it necessary to understand the process through which nurses who practice end-of-life care accept patient deaths. This study aimed to obtain insight into nurses' experiences of accepting patient deaths and to develop a practical theory regarding the context of this process.</p><p><strong>Methods: </strong>This qualitative study investigated nurses' process of acceptance of patient deaths based on grounded theory.</p><p><strong>Results: </strong>A core category of this process was found to be \"grieving over dying\", which consisted of the following steps \"being close by\", \"being attentive\", \"acknowledging together\", and \"accompanying.\"</p><p><strong>Conclusion: </strong>This study established that nurses' attentiveness toward dying people is due to their grief over patient deaths, and clarified Korean nurses' process of accepting patient deaths and its related factors.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"56-65"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/58/jhpc-24-1-56.PMC10180003.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10551157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 and Cancer: Questions to Be Answered.","authors":"Young Seon Hong","doi":"10.14475/jhpc.2021.24.1.66","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.66","url":null,"abstract":"<p><p>The World Health Organization (WHO) declared the coronavirus disease 2019 (COVID-19) outbreak to be a pandemic on March 12, 2020. In Korea, there have been 24,027 confirmed cases of COVID-19 and 420 deaths as of October 3, 2020. The clinical spectrum of COVID-19 ranges from asymptomatic infection to death. Cancer care in this pandemic has radically changed. The literature was reviewed. The COVID-19 pandemic has made it urgently necessary to profoundly re-organize cancer patients' care without compromising cancer outcomes. Several important questions in regard to COVID-19 infection in cancer patients have emerged. Are patients with cancer at a higher risk of COVID-19 infection? Are they at an increased risk of mortality and severe illness when infected with COVID-19? Does anticancer treatment affect the course of COVID-19? Based on the existing research, cancer patients with immunosuppression are vulnerable to COVID-19 infection, and cancer patients are more likely to experience severe COVID-19. However, chemotherapy and major surgery do not seem to be predictors of hospitalization or severe disease. Korean background data on patients with cancer and COVID-19 are lacking. Prospective multicenter studies on the outcomes of patients with cancer and COVID-19 should be conducted.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"66-68"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/b5/jhpc-24-1-66.PMC10180002.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10551159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students.","authors":"Youngmi Park,&nbsp;Keumhee Nam,&nbsp;Joohee Bae","doi":"10.14475/jhpc.2021.24.1.36","DOIUrl":"https://doi.org/10.14475/jhpc.2021.24.1.36","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among nursing college students, and attempted to identify the mediating effect of Role Perception on Life-sustaining Treatment in that relationship. It is hoped that the findings will ultimately contribute to the development of active nursing strategies.</p><p><strong>Methods: </strong>The participants were 142 nursing college students in the third and fourth years of study who had experienced clinical practice at two universities in cities Y and C. Data were collected from November 1 to 30, 2019. For data analysis, SPSS for Windows version 22.0 was used to calculate descriptive statistics, the t-test, Pearson's correlation coefficients, and multiple regression. To analyze the mediating effect, the Baron and Kenny bootstrapping method was used.</p><p><strong>Results: </strong>Attitudes toward Withdrawal of Life-sustaining Treatment of nursing college students had a significant positive correlation with Knowledge of Life-sustaining Treatment Plans (r=0.34, P<0.001) and Role Perception on Life-sustaining Treatment (r=0.44, P<0.001). Role Perception on Life-sustaining Treatment partially mediated the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment (95% CI, 0.446~1.055).</p><p><strong>Conclusion: </strong>Based on the results of this study, improving nursing college students' Role Perception on Life-sustaining Treatment could be used as a coping strategy to establish positive Attitudes toward Withdrawal of Life-sustaining Treatment.</p>","PeriodicalId":73780,"journal":{"name":"Journal of hospice and palliative care","volume":"24 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/b2/jhpc-24-1-36.PMC10180004.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10533750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}